Active NPI
Jose A. Monge-Canales, M.D.
- Family Medicine Physician
- Carolina, PR
National Provider Identifier
1679540017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9608
- Practice address
- E11 Carr 848
Villa San Anton
Carolina, PR 00987-6857 - Phone
- (787) 768-1065
- Fax
- (787) 768-1065
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9608 | PR | Primary |
Addresses
Primary practice location
E11 Carr 848
Villa San Anton
Carolina, PR 00987-6857
Mailing address
PO Box 9967
Carolina, PR 00988-9967
Phone (787) 640-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9608 | Other | PR | PR MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040828000215 | PR | Practitioner - Family Practice | 8224003736 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- San Juan Bautista School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
E11 Carr
Suite 848
Carolina, PR 00987-6857
Phone (787) 768-1065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9608 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1679540017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9967",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009889967",
"telephone_number": "787-640-1030",
"fax_number": "787-768-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E11 CARR 848",
"address_2": "VILLA SAN ANTON",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009876857",
"telephone_number": "787-768-1065",
"fax_number": "787-768-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGE-CANALES",
"first_name": "JOSE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "9608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR MEDICAL LICENSE",
"identifier": "9608",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.